Authors :
Abdirahman Omar Moallim
Volume/Issue :
Volume 8 - 2023, Issue 2 - February
Scribd :
https://bit.ly/3yABrR7
DOI :
https://doi.org/10.5281/zenodo.7735526
Abstract :
Ectopic pregnancy is defined as any pregnancy that
implants outside the uterine cavity. Gestational
trophoblastic disease (GTD) refers to a spectrum of
interrelated but histologically distinct tumors originating
from the placenta.
We will report here a case of Intra-ligamenraty ectopic
molar pregnancy. Left adnexectomy was done and
pathologic examination confirmed ectopic with complete
molar gestation.
In this article, an attempt was made to stress on the
need for histopathological examination and follow-up of
every case of ectopic pregnancy.
History and Clinical Findings
25 years old female with two normal vaginal delivery
came to our hospital on 16/6/2019, complaining of
intermittent minimal vaginal bleeding for 6 months, during
that time she had two times dilatation and curettage. there
was a left adnexal mass with an empty uterus in Pelvic MRI.
β-Human Chorionic Gonadotropin: 34745.33 mIU/ml.
Main Diagnose and Outcomes
On admission, Laparotomy was done then left
adnexectomy was done. The specimen was sent for
histopathological examination and the results confirmed
ectopic with complete molar gestation. Methotrexate was
started due to the steadiness of β-Human Chorionic
Gonadotropin but ultimately patient was diagnosed with
gestational trophoblastic neoplasia and referred to another
center outside of our country.
Conclusion
Histopathological examination of products of
conception remains the current gold standard for diagnosis.
Post-molar surveillance is standard as there is a possibility
of gestational trophoblastic neoplasia.
Keywords :
Ectopic, Molar, Pregnancy, Histopathology.
Ectopic pregnancy is defined as any pregnancy that
implants outside the uterine cavity. Gestational
trophoblastic disease (GTD) refers to a spectrum of
interrelated but histologically distinct tumors originating
from the placenta.
We will report here a case of Intra-ligamenraty ectopic
molar pregnancy. Left adnexectomy was done and
pathologic examination confirmed ectopic with complete
molar gestation.
In this article, an attempt was made to stress on the
need for histopathological examination and follow-up of
every case of ectopic pregnancy.
History and Clinical Findings
25 years old female with two normal vaginal delivery
came to our hospital on 16/6/2019, complaining of
intermittent minimal vaginal bleeding for 6 months, during
that time she had two times dilatation and curettage. there
was a left adnexal mass with an empty uterus in Pelvic MRI.
β-Human Chorionic Gonadotropin: 34745.33 mIU/ml.
Main Diagnose and Outcomes
On admission, Laparotomy was done then left
adnexectomy was done. The specimen was sent for
histopathological examination and the results confirmed
ectopic with complete molar gestation. Methotrexate was
started due to the steadiness of β-Human Chorionic
Gonadotropin but ultimately patient was diagnosed with
gestational trophoblastic neoplasia and referred to another
center outside of our country.
Conclusion
Histopathological examination of products of
conception remains the current gold standard for diagnosis.
Post-molar surveillance is standard as there is a possibility
of gestational trophoblastic neoplasia.
Keywords :
Ectopic, Molar, Pregnancy, Histopathology.
